Tatyana Benes, PHARMD
Individual provider Active NPI Pharmacist · Mundelein, IL
NPI 1487937645 · NPPES record last updated Sep 23, 2011
Key facts
- NPI
- 1487937645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.289326 (IL)
- Practice address
- 951 N Hwy 83
Mundelein, IL 60060-9115 - Phone
- (847) 566-7208
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.289326 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.289326 | IL | Yes |
Addresses
Primary practice location
951 N Hwy 83
Mundelein, IL 60060-9115
Mailing address
1072 Wrens Gate
Mundelein, IL 60060-1270
Phone (847) 837-8172
Other providers in Mundelein, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.